Wilda Castro

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MI0779 Issued in NV

Practice address

2501 N Green Valley Pkwy
Building D Suite 116 D
Henderson, NV 89014-0273

Phone

(702) 605-2766

Fax

(702) 938-9056

NPI assigned

Jan 13, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Health and Wellness LLCGroup PAC ID 9335363118, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Legacy Health and Wellness, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1457600645
  Medicare reassignment Care Compare group NPD
• Legacy Health and Wellness, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Las Vegas, NV
  • NPI 1003507500
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1891231809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 E RUSSELL RD UNIT 2117",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891228014",
            "telephone_number": "702-724-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GREEN VALLEY PKWY",
            "address_2": "BUILDING D SUITE 116 D",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890140273",
            "telephone_number": "702-605-2766",
            "fax_number": "702-938-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "WILDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "MI0779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Castillo
• Daisy Castro, CST
• Mayra Castro
• Rosa Angelica Castro
• Victor Castro
• Adan Rafael Castrodad-Caraballo, MD
• Tricia Catalino, P.T.
• Christopher David Catapano, DO
• Catch 22 Life Services LLC.
• Camille Louise Catchillar, P.T.

• Marriage & Family Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.